[Cerebral artery ischemia and neonatal convulsions]. / Ischémie artérielle cérébrale et convulsions néonatales.

A new case of neonatal seizures due to arterial ischemia is reported and the symptoms and prognosis of this condition are discussed. Arterial ischemia should be routinely considered in neonates who develop seizures a few days after an uneventful birth. Seizure recurrences exhibit unchanging features, in particular consistent focalization. The value of cerebral CT scan studies is underlined. Transfontanellar ultrasonography is not helpful in this condition. MRI may be especially informative for monitoring anatomical lesions over time and Doppler studies may be of value when performed at a very early stage. The outcome in the case reported herein and in previous reports is fairly favorable.

[Intracranial septic aneurysm in an infant. Apropos of a case and review of the literature]. / Anévrisme septique intra-crânien chez un nourrisson. A propos d'un cas et revue de la littérature.

This case report describes a four and a half month old infant with all meningitis symptoms and a sub arachnoidal hemorrhage at the lumbar puncture. Transfontanelle - ultrasonography and computed tomography enables us to diagnose a right intra-cerebral hematoma. Angiography visualises a mycotic aneurysm in a distal portion of the sylvian artery. A success is obtained both by neuro surgery and antibiotics treatment. Regarding this case of intra cranial septic aneurysm and the ones reviewed in the literature, aetiology, frequency, clinical features and management are discussed by the authors.